Analysis on status of follow-up testing among young HIV/AIDS students aged 15-24 in Guangdong Province, 2008-2019

LIU Jun; FU Xiaobing; XIE Shilan; LI Jianrong; LIU Youzhao; LIN Peng; LI Yan

doi:10.16835/j.cnki.1000-9817.2021.05.028

Volume 42 Issue 5

May 2021

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LIU Jun, FU Xiaobing, XIE Shilan, LI Jianrong, LIU Youzhao, LIN Peng, LI Yan. Analysis on status of follow-up testing among young HIV/AIDS students aged 15-24 in Guangdong Province, 2008-2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 759-763. doi: 10.16835/j.cnki.1000-9817.2021.05.028

Citation:

LIU Jun, FU Xiaobing, XIE Shilan, LI Jianrong, LIU Youzhao, LIN Peng, LI Yan. Analysis on status of follow-up testing among young HIV/AIDS students aged 15-24 in Guangdong Province, 2008-2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 759-763. doi: 10.16835/j.cnki.1000-9817.2021.05.028

Citation:

LIU Jun, FU Xiaobing, XIE Shilan, LI Jianrong, LIU Youzhao, LIN Peng, LI Yan. Analysis on status of follow-up testing among young HIV/AIDS students aged 15-24 in Guangdong Province, 2008-2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 759-763. doi: 10.16835/j.cnki.1000-9817.2021.05.028

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Analysis on status of follow-up testing among young HIV/AIDS students aged 15-24 in Guangdong Province, 2008-2019

doi: 10.16835/j.cnki.1000-9817.2021.05.028

Department for HIV/AIDS Control and Prevention, Guangdong Center for Disease Control and Prevention, Guangzhou(511430), China

Received Date: 2020-11-13
Rev Recd Date: 2020-12-31

Available Online: 2021-05-20

Publish Date: 2021-05-25

Abstract

Abstract

Objective To analyze the status of follow-up cell testing of HIV/AIDS cases among young students aged 15-24 in Guangdong Province from 2008 to 2019. Methods Using the historical database downloaded from the AIDS Comprehensive Prevention and Control Information System from January 1, 2018 to December 31, 2019, eligible newly discovered cases were screened by year and were linked with follow-up database. Joinpoint regression model and trend test were used to explore the annual changes in the follow-up and CD4 testing status, and Logistic regression was used to analyze relevant influencing factors. Results The number of infected students showed a rapid upward trend before 2015(APC=41.7, β=0.3, P < 0.01), and the growth rate slowed down(APC=3.6, β=-0.3, P < 0.01). The proportion of follow-up and CD4 testing completed within one year increased from 58.3% in 2008 to 93.6% in 2019, and the timely detection rate increased from 33.3% in 2008 to 86.2% in 2019. The Cochran-Armitage trend test was statistically significant. Pairwise comparison test showed time trends of the idnex differed in regions and education groups (Z=4.7, 8.7, 9.8, P < 0.01). The Pearl River Delta region, cases from other cities in the province, with precise transmission routes, from voluntary counseling and testing, and cases flowing within the province, the proportion of follow-up and testing completed within one year is relatively high (P < 0.05). Conclusion The growth rate of HIV/AIDS cases among young students aged 15-24 in Guangdong Province has slowed down in recent years. The route of infection, source and flow of cases affect follow-up and testing compliance. And to do a good job of referrals for off-site mobility, and explore and promote student-friendly VCT service models.
- HIV,
- Acquired immunodeficiency syndrome,
- Regression analysis,
- Students

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References(16)

References

[1]	吴尊友. 我国学校艾滋病防控形势及策略[J]. 中国学校卫生, 2015, 36(11): 1604-1605. http://www.cjsh.org.cn/article/id/zgxxws201511002 WU Z Y. Situation and strategy of HIV/AIDS prevention and control in schools in China[J]. Chin J Sch Health, 2015, 36(11): 1604-1605. http://www.cjsh.org.cn/article/id/zgxxws201511002
[2]	中国疾病预防控制中心. 艾滋病病毒感染者随访工作指南(2016年版)[Z]. 2016-09-09. Chinese Center for Disease Control and Prevention of the People's Republic of China. Guidelines for Follow-up of HIV-Infected People (2016 Edition)[Z]. 2016-09-09.
[3]	李明奎, 王万海, 张晓燕. 我国艾滋病感染者管理的实践与思考[J]. 中国艾滋病性病, 2010, 16(1): 78-80, 92. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201001036.htm LI M K, WANG W H, ZHANG X Y. Models of management for HIV infectors/AIDS patients in China: practice and reflection[J]. Chin J AIDS STD, 2010, 16(1): 78-80, 92. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201001036.htm
[4]	唐林, 凌倩, 吕繁, 等. 利用线性混合效应模型分析男男性行为人群中HIV疾病进程[J]. 中华流行病学杂志, 2020, 41(6): 861-865. doi: 10.3760/cma.j.cn112338-20190918-00679 TANG L, LING Q, LYU F, et al. Using linear mixed-effects model to analyze the progression of HIV disease, among men who have sex with men[J]. Chin J Epidemiol, 2020, 41(6): 861-865. doi: 10.3760/cma.j.cn112338-20190918-00679
[5]	韩晶, 汤后林, 毛宇嵘. 2012—2016年新报告HIV感染者首次CD4~+T淋巴细胞检测情况分析[J]. 中国艾滋病性病, 2018, 24(5): 461-465. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201805010.htm HAN J, TANG H L, MAO Y R. First CD4+T cell test of newly reported HIV/AIDS cases between 2012 and 2016[J]. Chin J AIDS STD, 2018, 24(5): 461-465. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201805010.htm
[6]	韩晶, 汤后林, 李健, 等. 中国2011—2015年艾滋病病毒感染者及艾滋病患者随访检测及其流动情况分析[J]. 中华流行病学杂志, 2018, 39(6): 732-738. doi: 10.3760/cma.j.issn.0254-6450.2018.06.008 HAN J, TANG H L, LI J, et al. Programs on mobility, status of follow-up and CD4+T cell testing among people living with HIV/AIDS, in China 2011-2015[J]. Chin J Epidemiol, 2018, 39(6): 732-738. doi: 10.3760/cma.j.issn.0254-6450.2018.06.008
[7]	KIM H J, FAY M P, FEUER E J, et al. Permutation tests for joinpoint regression with applications to cancer rates[J]. Stat Med, 2000, 19(3): 335-351. doi: 10.1002/(SICI)1097-0258(20000215)19:3<335::AID-SIM336>3.0.CO;2-Z
[8]	KIM H J, FAY M P, YU B, et al. Comparability of segmented line regression models[J]. Biometrics, 2004, 60(4): 1005-1014. doi: 10.1111/j.0006-341X.2004.00256.x
[9]	农丽萍, 郭丹, 何波, 等. 南宁市大学生艾滋病疫情特征及随访管理情况分析[J]. 中国皮肤性病学杂志, 2020, 34(4): 409-414. https://www.cnki.com.cn/Article/CJFDTOTAL-ZBFX202004010.htm NONG L P, GUO D, BO H E, et al. The epidemiological characteristics and follow-up management of reported HIV/AIDS cases among college students in Nanning City[J]. Chin J Dermatovenereol, 2020, 34(4): 409-414. https://www.cnki.com.cn/Article/CJFDTOTAL-ZBFX202004010.htm
[10]	吴秀玲, 黄精华, 朱秋映, 等. 2017年广西现存活HIV/AIDS病人随访管理现状分析[J]. 中国艾滋病性病, 2019, 25(4): 368-370. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201904011.htm WU X L, HUANG J H, ZHU Q Y, et al. Current situation of follow-up management of the living HIV/AIDS in Guangxi in 2017[J]. Chin J AIDS STD, 2019, 25(4): 368-370. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201904011.htm
[11]	许娟, 韩晶, 汤后林, 等. 2008—2014年中国艾滋病病毒感染者和艾滋病患者随访管理进展[J]. 中华流行病学杂志, 2015, 36(12): 1341-1344. doi: 10.3760/cma.j.issn.0254-6450.2015.12.004 XU J, HAN J, TANG H L, et al. The improvement of follow-up services for people living with HIV/AIDS in China from 2008 to 2014[J]. Chin J Epidemiol, 2015, 36(12): 1341-1344. doi: 10.3760/cma.j.issn.0254-6450.2015.12.004
[12]	张薇, 彭国平, 张艺, 等. 2008—2012年湖北省新发现HIV/AIDS随访情况分析[J]. 预防医学情报杂志, 2015, 31(9): 684-687. https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX201509006.htm ZHANG W, PENG G P, ZHANG Y, et al. Analysis of the first CD4 count test of newly detected HIV/AIDS cases from 2008 to 2013 in Hubei Province[J]. J Appl Prev Med, 2015, 21(6): 369-372. https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX201509006.htm
[13]	汤后林, 毛宇嵘. 2008年全国艾滋病病毒感染者/艾滋病患者随访管理情况及数据质量分析[J]. 疾病监测, 2010, 25(8): 658-661. doi: 10.3784/j.issn.1003-9961.2010.08.022 TANG H L, MAO Y R. Follow up of HIV/AIDS cases and data quality anaysis in China, 2008[J]. Dis Surveill, 2010, 25(8): 658-661. doi: 10.3784/j.issn.1003-9961.2010.08.022
[14]	林梓铭. 广东省艾滋病异性性传播病例传播方式与性行为特征研究[D]. 广州: 暨南大学, 2018. LIN Z M. Study on the transmission route and sexual characteristics of HIV heterosexual transmission cases in Guangdong Province[D]. Guangzhou: Jinan University, 2018.
[15]	WHO. HIV and adolescents: guidance for HIV testing and counselling and care for adolescents living with HIV: recommendations for a public health approach and considerations for policy-makers and managers[EB/OL]. [2013-06-30]. https://www.who.int/hiv/pub/guidelines/adolescents/en/.
[16]	陈梦清, 程伟彬, 徐慧芳, 等. 广州市大学生对同伴艾滋病自愿咨询检测服务接受意愿及其影响因素分析[J]. 中国学校卫生, 2018, 39(2): 203-206. doi: 10.16835/j.cnki.1000-9817.2018.02.014 CHEN M Q, CHENG W B, XU H F, et al. Analysis of factors associated with willingness to accept peer HIV voluntary counseling and testing among college students in Guangzhou[J]. Chin J Sch Health, 2018, 39(2): 203-206. doi: 10.16835/j.cnki.1000-9817.2018.02.014